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Organization

JAY PEDIATRICS PA

Active
Other names
Marian B Stewart MD
Organization subpart
No

Provider details

NPI number
Authorized official
MARIAN B STEWART MD (OWNER/PRESIDENT)
(850) 675-4546
Entity
Organization

Contact information

Practice address
14088 ALABAMA ST, JAY, FL 32565-1036
(850) 675-4546
(850) 675-4548
Mailing address
PO BOX 10, JAY, FL 32565-0010
(850) 675-4546
(850) 675-4548

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME68044
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009905570
ALACAID
AL
01
1202673
COVENTRY
01
1206338
UNITED HEALTHCARE
05
251076600
FL
01
264891884
TRICARE
01
32119
BLUE CROSS AND BLUE SHIELD OF FLORIDA
01
4878883
CIGNA
01
5173714
AETNA
01
59176907
BLUE CROSS AND BLUE SHIELD OF ALABAMA
Enumeration date
05/15/2012
Last updated
05/15/2012
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